Somerset's PH vision is that people live healthy and independent lives, supported by thriving and connected communities, with timely and easy access to high quality and efficient public services when they need them

Resulting in a good birth, a good life and a good death.

The strategy has three aims;-

that

1) People, families and communities take responsibility for their own health and wellbeing

2) Families and communities are thriving and resilient

3) Somerset people are able to live independently

The three current priorities are;-

1) To build strong, resilient and healthy communities

2) A joint leadership for prevention and

3) A new, integrated and sustainable model of care

Mental and Social Capital will result in that stronger community that is positively connected, inclusive, resilient, mutually supportive and informed

There is a high risk factor of loneliness due to the number of one person households. The population in terms of those aged 65 or over is growing. Currently there is an inequality in who is dying and why

There is a significant role for SMH in palliative care

Early intervention is best practise. Like water money flows downstream so early intervention is PREVENTION

There are three types of prevention; Primary, Secondary and Tertiary

There is also a lot that SMH can do about primary prevention i.e. wills, talking about dying

Prevention opportunities are present at all levels from Specialised/acute need, complex needs, low level of need and independent living in communities and neighbourhoods

SMH fits across all levels

Forward planning, humanity of the journey and collaboration between the acute and voluntary sector are critical.

PwC 'Fit for Future' report highlights

Six key challenges

The age of the population is growing

STP's

Accessibility and equality

Maintaining and developing the workforce

The impact of immigration as both part solution and part problem

Indispensable services:

CRC and 24 hour advice and support line

Home and community care

Educations and research and

IPU services

Camilla Wilson's journey: the patient face of 'Fit for Future'

Described through a series of blogs and interviews. Ultimately tha family felt let down by the system. For example:

A difference of opinion by health professionals was confusing

Care was not coordinated

There were issues with equipment

The family did not know what to expect at the end of life

Key message was that expectations need to be managed in a sensitive and open manner by all professions to help patients deal with their progressing illness

Option criteria - break-out sessions

The Review Panel suggested that four criteria were equally critical

Fit with charitable mission and vision

Ability to address the six key challenges

Alignment with changes in the external environment

Alignment with SMH's objective of increasing reach

The Review Panel felt that remaining criteria wold be easier to address if the critical four criteria were prioritised. In order of importance, the Review Panel ranked the remaining criteria as

Implications on fundraising

Promotion of coordination of specialist palliative care

Workforce capability and capacity

Ease of implementation

REPUTATION management was seen as critical when considering all options

Summary of key themes

A Public Health approach to strenghten and build strong communities

Reputation of SMH moving forward

Panel Meeting 8: 22nd July 2016

Presentation by PwC on proposed service model options

A review of the 'Foreword' with proposed amendments

Putting patients first; Reaching the harder to reach; Embracing new technologies; Promoting a caring network; Making caring a career; Valuing our volunteers; Growing our reputation in Somerset; Keeping up with the times; Maintaining a high quality